Ashley Dubois, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21423 Issued in FL

Practice address

34 Walter Martin Rd NE
Fort Walton Beach, FL 32548-4960

Phone

(760) 528-0275

NPI assigned

Jul 15, 2015

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoreline Dental Studio PLLC

  • Dental Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1750049417
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1053795401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 SANCTUARY CLUB RD UNIT 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WALTER MARTIN RD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484960",
            "telephone_number": "760-528-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amdubois2015@gmail.com",
            "affiliation": "N",
            "address_1": "34 Walter Martin Rd NE",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325484960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dress Cosmetic Surgery, P.a.
• Dress Reconstructive Surgery, P.a.
• Christopher Michael Dress, M.D.
• DRS. Frisbee Family Chiropractic PA
• Luz Anuri Drummond, N.P.
• Brianna Isabella Duby
• Joseph Duda, APRN
• John Dudley, M.D.
• Nicole Ashley Dues, AUD
• Brian Duke

• General Practice Dentistry in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.